Elizabeth Lanphier's Avatar

Elizabeth Lanphier

@ethicselizabeth.bsky.social

Philosopher & Clinical Ethicist | she/her | peds ethics, repro ethics, TIC, narrative med, feminist philosophy | Cincinnati (it’s cool despite Ohio) | Thoughts my own unless I am re-posting yours

2,522 Followers  |  1,607 Following  |  918 Posts  |  Joined: 31.07.2023  |  2.2179

Latest posts by ethicselizabeth.bsky.social on Bluesky

A former FDA commissioner liked this post but sadly did not share any tips & tricks for how to get your 11 co-authors to respond to requests for edits or approvals of the final manuscript in a timely manner.

05.12.2025 02:41 — 👍 4    🔁 0    💬 0    📌 0

Do these folks have a pre-existing group chat? Did someone get an outline going in a Google doc? Did one person basically write the piece for others to edit and sign off on? I am just so curious about the nuts and bolts of this.

04.12.2025 11:33 — 👍 3    🔁 0    💬 1    📌 0

Not to detract from the important content of this essay, but I am so fascinated by its process.

Anyone who’s ever collaborated with a group knows how hard it can be to get coauthors to respond or contribute - let alone in the span of a weekend - and something from idea to print this fast!

04.12.2025 11:32 — 👍 13    🔁 3    💬 1    📌 1

American exceptionalism all the time, unless it’s inconvenient for your ulterior motives and then definitely defer to other nation states as optimal models in this one narrow way that absolutely doesn’t make sense when taken out of context ::sigh::

04.12.2025 03:44 — 👍 1    🔁 0    💬 0    📌 0

The rest of you plebs posting your Spotify lists but I'm here going strong on my library app 😌

04.12.2025 03:07 — 👍 33    🔁 1    💬 0    📌 1
A white woman’s hand holding a book on a snowy sidewalk. The book is “this year: 365 songs annotated” by John Darnielle.

A white woman’s hand holding a book on a snowy sidewalk. The book is “this year: 365 songs annotated” by John Darnielle.

When your favorite bookstore @downboundbooks.bsky.social has signed copies of a freshly released book of annotated songs by your favorite band @themountaingoats.bsky.social you put the pedal to the floor and buy yourself the best holiday present.

04.12.2025 01:38 — 👍 0    🔁 0    💬 0    📌 0
Post image Post image Post image

12 former commissioners of the FDA came together to write a Perspectives piece for the New England Journal of Medicine; raising our concerns about recent changes to vaccine approval policy at the FDA and its implications for patients and public health.

03.12.2025 22:28 — 👍 566    🔁 248    💬 10    📌 11
Post image

We need our city to take action to protect our immigrant friends, family, and coworkers. Join us for a Sanctuary Cincy Community Meeting on how we can demand city government protects the city from ICE. RSVP here: https://loom.ly/AHNNQq4 #abolishICE #DSA #socialism

03.12.2025 16:01 — 👍 7    🔁 5    💬 0    📌 1

Twelve former FDA Commissioners take Vinay Prasad to task!

03.12.2025 23:55 — 👍 111    🔁 43    💬 2    📌 2

But I thought Bluesky folks all cancelled Spotify?!

03.12.2025 23:54 — 👍 1    🔁 0    💬 0    📌 0
Post image

We finally have randomized, controlled clinical trial results from ambient AI scribes. But what do these RCTs actually tell us?

Look at the below chart. Time savings are often low, but doctors give the technology rave reviews, esp in anecdotes that people tend to believe more than data 👀 🧵

🖥️🩺

03.12.2025 16:56 — 👍 21    🔁 16    💬 1    📌 2
Preview
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.

Here is an up-to-date explainer on off-label COVID-19 vaccination in light of fall 2025 FDA approvals, CDC recommendations, and medical professional society guidance in the US via @us.theconversation.com with @sefyfe.bsky.social

Thanks to @scholars.org for support with editing & pitching!

03.12.2025 01:31 — 👍 4    🔁 2    💬 1    📌 0
JAMA pediatrics table of contents email: 

JAMA Pediatrics
New Issue
December 2025; Volume 179, Number 12
Viewpoint
Reconsidering _Off-Label Pediatric COVID-19 Vaccination
Elizabeth Lanphier, PhD, MS; Shannon Fyfe, PhD, JD
Genomic Newborn Screening -A Long Road From Pilot to
Public Policy.
François Boemer, PharmD, PhD; Laurent Servais, MD, PhD
Resource Thresholds for Parenting to Enhance Child
Cognition
Max P. Herzberg, PhD; Nancy J. Villanueva, BA; Deanna M. Barch, PhD; et al.
A Callaborative Approach te Assessment and
(Non)Diagnosis of Autism
Lester Liao, MD, MTS; Mohammad Zubairi, MD, MEd
Ethical Basis of the Pediatric Vaccine Encounter -
Correcting the Record
Douglas J. Opel, MD, MPH; Lainie Friedman Ross, MD, PhD; Sean
T. O Leary, MD, MPH

JAMA pediatrics table of contents email: JAMA Pediatrics New Issue December 2025; Volume 179, Number 12 Viewpoint Reconsidering _Off-Label Pediatric COVID-19 Vaccination Elizabeth Lanphier, PhD, MS; Shannon Fyfe, PhD, JD Genomic Newborn Screening -A Long Road From Pilot to Public Policy. François Boemer, PharmD, PhD; Laurent Servais, MD, PhD Resource Thresholds for Parenting to Enhance Child Cognition Max P. Herzberg, PhD; Nancy J. Villanueva, BA; Deanna M. Barch, PhD; et al. A Callaborative Approach te Assessment and (Non)Diagnosis of Autism Lester Liao, MD, MTS; Mohammad Zubairi, MD, MEd Ethical Basis of the Pediatric Vaccine Encounter - Correcting the Record Douglas J. Opel, MD, MPH; Lainie Friedman Ross, MD, PhD; Sean T. O Leary, MD, MPH

My essay with @sefyfe.bsky.social revisiting off label Covid-19 vaccines for kids in the current context is officially in this week’s issue of @jamapediatrics.com

03.12.2025 01:20 — 👍 5    🔁 5    💬 1    📌 0

This is such a great reply for so many situations ranging from dealing with toddlers to pundits.

03.12.2025 03:24 — 👍 4    🔁 0    💬 0    📌 0

If anything this race, and the Nov elections should highlight that voting is where civic engagement BEGINS. Voting is not the ceiling of civic engagement.

Lock in, dorks. We have to take back Congress and we need you to do it!

03.12.2025 02:29 — 👍 43    🔁 4    💬 2    📌 1
Preview
Off-label use of COVID-19 vaccines was once discouraged but has become common amid new guidelines A cascade of changes to eligibility guidelines for the updated COVID-19 vaccines left Americans unsure whether they could still get the shot. That’s where off-label use comes in.

Here is an up-to-date explainer on off-label COVID-19 vaccination in light of fall 2025 FDA approvals, CDC recommendations, and medical professional society guidance in the US via @us.theconversation.com with @sefyfe.bsky.social

Thanks to @scholars.org for support with editing & pitching!

03.12.2025 01:31 — 👍 4    🔁 2    💬 1    📌 0
Preview
Reconsidering Off-Label Pediatric COVID-19 Vaccination This Viewpoint discusses current factors to consider when recommending off-label pediatric COVID-19 vaccination.

The essay was written & accepted before some of the regulatory things we anticipated coming to pass occurred.

But our argument stands that (for now) off-label use is a tool for continued vaccine access according to medical recommendations, even for those ineligible for an FDA approved vaccine.

03.12.2025 01:24 — 👍 3    🔁 0    💬 1    📌 0
JAMA pediatrics table of contents email: 

JAMA Pediatrics
New Issue
December 2025; Volume 179, Number 12
Viewpoint
Reconsidering _Off-Label Pediatric COVID-19 Vaccination
Elizabeth Lanphier, PhD, MS; Shannon Fyfe, PhD, JD
Genomic Newborn Screening -A Long Road From Pilot to
Public Policy.
François Boemer, PharmD, PhD; Laurent Servais, MD, PhD
Resource Thresholds for Parenting to Enhance Child
Cognition
Max P. Herzberg, PhD; Nancy J. Villanueva, BA; Deanna M. Barch, PhD; et al.
A Callaborative Approach te Assessment and
(Non)Diagnosis of Autism
Lester Liao, MD, MTS; Mohammad Zubairi, MD, MEd
Ethical Basis of the Pediatric Vaccine Encounter -
Correcting the Record
Douglas J. Opel, MD, MPH; Lainie Friedman Ross, MD, PhD; Sean
T. O Leary, MD, MPH

JAMA pediatrics table of contents email: JAMA Pediatrics New Issue December 2025; Volume 179, Number 12 Viewpoint Reconsidering _Off-Label Pediatric COVID-19 Vaccination Elizabeth Lanphier, PhD, MS; Shannon Fyfe, PhD, JD Genomic Newborn Screening -A Long Road From Pilot to Public Policy. François Boemer, PharmD, PhD; Laurent Servais, MD, PhD Resource Thresholds for Parenting to Enhance Child Cognition Max P. Herzberg, PhD; Nancy J. Villanueva, BA; Deanna M. Barch, PhD; et al. A Callaborative Approach te Assessment and (Non)Diagnosis of Autism Lester Liao, MD, MTS; Mohammad Zubairi, MD, MEd Ethical Basis of the Pediatric Vaccine Encounter - Correcting the Record Douglas J. Opel, MD, MPH; Lainie Friedman Ross, MD, PhD; Sean T. O Leary, MD, MPH

My essay with @sefyfe.bsky.social revisiting off label Covid-19 vaccines for kids in the current context is officially in this week’s issue of @jamapediatrics.com

03.12.2025 01:20 — 👍 5    🔁 5    💬 1    📌 0
Preview
Homepage - National Network of Abortion Funds Our network of nearly 100 abortion funds builds power for abortion access. Find a fund, get support, donate, and join campaigns with NNAF.

It’s Giving Tuesday. (It’s giving … Tuesday.) I really encourage you to donate to an abortion fund, which make the promise of equality real by allowing women to control their bodies and lives, pursue their dreams, and live with dignity. Find your local fund here: abortionfunds.org

02.12.2025 23:46 — 👍 112    🔁 39    💬 1    📌 0

We are in Bothsider Hell, and I hate it here.

On the one hand, some college kids got a few more minutes on a test.

On the other hand, the govt is destroying its entire safety net and threatening to put autistic people in camps.

The scales just balance, y’all. Somehow. Don’t ask. They just do.

02.12.2025 23:04 — 👍 59    🔁 10    💬 2    📌 1
Preview
Her baby was in the NICU. She was in ICE detention. Before Trump took office, postpartum immigrants were rarely detained by ICE. Nayra Guzmán was detained while her 15-day-old baby was in the NICU.

Nayra Guzmán was 15 days post C-section — going to see her baby in the NICU — when she was taken to Broadview and held in custody for about 34 hours.

She slept on a bench and barely got food. She couldn't pump.

Her story is a rare window into the growing detention of pregnant & postpartum people.

02.12.2025 13:50 — 👍 538    🔁 266    💬 5    📌 29
Graphic displays bold black text in a red box. It reads: "Sick in a Hospital Town: A Five Part Series." Background image: A white water tower and red brick buildings in Albany, Georgia.

Graphic displays bold black text in a red box. It reads: "Sick in a Hospital Town: A Five Part Series." Background image: A white water tower and red brick buildings in Albany, Georgia.

On Dec. 7, we’re taking you to Albany, Georgia, and telling a story as we never have before.

In a new 5-part series, ProPublica’s @gingerthompson.bsky.social pursues one question: “Why are people in Albany so sick when its most powerful institution is a hospital?”

02.12.2025 14:00 — 👍 408    🔁 104    💬 7    📌 10
Saved by Stoppard
Sir, In 1993 my wife and I went to see the first production of Arcadia by Tom Stoppard (obituary, Dec I), and in the interval I experienced a Damascene conversion. As a clinical scientist I was trying to understand the enigma of the behaviour of breast cancer, the assumption being that it grew in a linear trajectory spitting off metastases on its way. In the first act of Arcadia, Thomasina asks her tutor, Septimus: "If there is an equation for a curve like a bell, there must be an equation for one like a bluebell, and if a bluebell, why not a rose?" With that Stoppard explains chaos theory, which better explains the behaviour of breast cancer. At the point of diagnosis, the cancer must have already scattered cancer cells into the circulation that nest latent in distant organs. The consequence of that hypothesis was the birth of "adjuvant systemic chemotherapy",
", and rapidly
we saw a striking fall of the curve that illustrated patients' survival.
Stoppard never learnt how many lives he saved by writing Arcadia.
Michael Baum
Professor emeritus of surgery; visiting professor of medical humanities, UCL
r.

Saved by Stoppard Sir, In 1993 my wife and I went to see the first production of Arcadia by Tom Stoppard (obituary, Dec I), and in the interval I experienced a Damascene conversion. As a clinical scientist I was trying to understand the enigma of the behaviour of breast cancer, the assumption being that it grew in a linear trajectory spitting off metastases on its way. In the first act of Arcadia, Thomasina asks her tutor, Septimus: "If there is an equation for a curve like a bell, there must be an equation for one like a bluebell, and if a bluebell, why not a rose?" With that Stoppard explains chaos theory, which better explains the behaviour of breast cancer. At the point of diagnosis, the cancer must have already scattered cancer cells into the circulation that nest latent in distant organs. The consequence of that hypothesis was the birth of "adjuvant systemic chemotherapy", ", and rapidly we saw a striking fall of the curve that illustrated patients' survival. Stoppard never learnt how many lives he saved by writing Arcadia. Michael Baum Professor emeritus of surgery; visiting professor of medical humanities, UCL r.

Alt text for those who need it. This is amazing.

02.12.2025 09:42 — 👍 731    🔁 274    💬 15    📌 42
Preview
Amid Confusing CDC Guidance About Vaccines, Study Highlights New Risk of COVID-19 During Pregnancy A Harvard study found that the children of women who contracted COVID-19 while pregnant may be at an increased risk for autism and other diagnoses, raising new concerns about the CDC’s decision to sto...

Scientists studied thousands of children born March 2020-May 2021.

Out of 800+ mothers diagnosed with COVID-19, 16.3% of their babies received a neurodevelopmental diagnosis by 3 years old, compared with 9.7% who weren’t exposed to COVID-19 in utero.

30.11.2025 19:20 — 👍 774    🔁 364    💬 18    📌 34

who decided to call it Secret Santa when Nondisclosure Claus was right there

01.12.2025 22:55 — 👍 3489    🔁 902    💬 26    📌 22
Preview
Aging with complex chronic illnesses and disabilities at home Hi! My name is Julia Métraux, and I am Mother Jones' disability reporter. I am working on a series (to be published before May 1) profiling three American aging adults (50+) about how you're aging ind...

👋 Call for sources: My name is Julia Métraux, and I am @motherjones.com disability reporter. I am working on a series (to be published before May 1) profiling three American aging adults (50+) about how you're aging independently while taking care of your health. docs.google.com/forms/d/e/1F...

01.12.2025 20:48 — 👍 239    🔁 191    💬 2    📌 4

A great essay to illustrate reasons clinical ethicists are sometimes consulted.

01.12.2025 20:42 — 👍 4    🔁 0    💬 0    📌 0
Preview
Opinion | The Medical Case That Still Haunts Me

“He articulated to everyone who asked that although he did not want to die, he would prefer death to a pacemaker’s potential complications, especially the possibility of infection…A cardiologist spent hours at his bedside, trying to get to know him… to find some opening that would persuade him”

30.11.2025 13:34 — 👍 6    🔁 1    💬 1    📌 1
Effectiveness of 2023–2024 COVID-19 Vaccines in Children in the United States 2023–2024 COVID-19 vaccines were recommended for individuals aged at least 6 months by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices in September 2023.1...

"Receipt of a 2023–2024 COVID-19 vaccine dose afforded immunocompetent children aged 9 months to 17 years additional protection against COVID-19–associated ED/UC [emergency department/urgent care] encounters."

01.12.2025 15:02 — 👍 1    🔁 0    💬 0    📌 0

This fall getting my kids’ (8 and 3) Covid vaccines was, for the first time, uneventful. It was a long road, waiting for my older kid to have access, waiting for my younger kid to be eligible, difficulty finding vaccines.

This year, it was straightforward: at the pediatrician’s office, no biggie.

30.11.2025 01:14 — 👍 10    🔁 1    💬 1    📌 0

@ethicselizabeth is following 20 prominent accounts